Management of the enlarged clitoris, because of its import for sexual function, has been and remains one of the most controversial topics in pediatric urology. Early controversy surrounding clitoroplasty resulted from many factors including an incomplete understanding of clitoral anatomy and incorrect assumptions of the role of the clitoris in sexual function. With a better understanding of anatomy and function, procedures have evolved to preserve clitoral tissue, especially with respect to the neurovascular bundles. These changes have been made in an effort to preserve clitoral sensation and preserve orgasmic potential. It is the goal of this manuscript to describe the different procedures that have been developed for the surgical management of clitoromegally, with emphasis on the risks and benefits of each. Equally important to any discussion of such a sensitive topic is an understanding of long-term patient outcomes.
The external genital organs include the mons pubis, labia majora, labia minora, Bartholin glands, and clitoris. The area containing these organs is called the vulva. Protecting the internal genital organs from infectious organisms. The mons pubis is a rounded mound of fatty tissue that covers the pubic bone. During puberty , it becomes covered with hair. The mons pubis contains oil-secreting sebaceous glands that release substances that are involved in sexual attraction pheromones. The labia majora literally, large lips are relatively large, fleshy folds of tissue that enclose and protect the other external genital organs.
What Causes an Enlarged Clitoris and How Is It Treated?
Enlargement is usually caused by sexual arousal, but there are a few conditions that may cause your clitoris to stay enlarged for a longer period of time. These symptoms may be due to an underlying infection or medical issue. Keep reading to learn more about what may be behind your symptoms and when you should make an appointment with your doctor. Temporary enlargement is usually tied to sexual arousal.
Clitoral priapism is a rare condition that is associated with an extended duration of clitoral erection due to local engorgement of clitoral tissue resulting in pain. Although the pathophysiology is not completely understood, it has been associated with specific classes of medications, diseases that alter clitoral blood flow or others associated with small to large vessel disease. We present a case report of a year-old patient who developed clitoral priapism without a clear medication or disease related etiology.